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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭

I was having all over itchiness from the hydroxychloroquine. The doctor wasn't sure if that's what caused it but is taking me off it completely.
Since I am starting to flare up she is putting me on methotrexate. I am wondering what people's experience is with methotrexate? Did anyone who was a blood or platelet donor have any difficulties in continuing to donate?
I am concerned about hair loss as it is a chemo medication.

Thanks.

2 hours ago
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A myRAteam Member

Vitalant does not have methotrexate as a deferral to donate and I also contacted them directly and they said that methotrexate and humira are both safe to use while donating.

2 hours ago
myRAteam

It's completely understandable to have questions and concerns about starting methotrexate, especially around hair loss. While it was originally developed as a cancer treatment, it's widely used for RA at much lower doses to help slow disease progression and reduce joint damage.

Regarding blood or platelet donation while on Show Full Answer

It's completely understandable to have questions and concerns about starting methotrexate, especially around hair loss. While it was originally developed as a cancer treatment, it's widely used for RA at much lower doses to help slow disease progression and reduce joint damage.

Regarding blood or platelet donation while on methotrexate — most blood donation organizations do not allow donations from people taking methotrexate, as it is considered an immunosuppressant. It's best to check directly with your donation center, as policies can vary. On the topic of hair loss, it is a known side effect, but it's usually mild. Research suggests between 1–9% of people experience it. The good news is it often improves if the medication is stopped or the dose is adjusted.

Some myRAteam members have shared their experiences:

- One member noted losing about 50% of their hair, but it grew back — though with a different texture
- Another shared their hair became curlier after starting the medication
- Some members noticed no significant hair loss at all

To help minimize hair loss, doctors often recommend:

- Taking folic acid supplements alongside methotrexate
- Being gentle when brushing or combing
- Avoiding tight hairstyles that pull on the scalp
- Being cautious with hair coloring or bleaching — always check with your doctor first

If you notice large clumps falling out or sudden patchy hair loss, contact your rheumatologist right away. They may adjust your dose or explore other options.

2 hours ago

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